World Journal of Surgery

, Volume 35, Issue 6, pp 1183–1193 | Cite as

Surgical Care in the Solomon Islands: A Road Map for Universal Surgical Care Delivery

  • Eileen S. NatuzziEmail author
  • Adam Kushner
  • Rooney Jagilly
  • Douglas Pickacha
  • Kaeni Agiomea
  • Levi Hou
  • Patrick Houasia
  • Phillip L. Hendricks
  • Dudley Ba’erodo



Access to surgical care and emergency obstetrical care is limited in low-income countries. The Solomon Islands is one of the poorest countries in the Pacific region. Access to surgical care in Solomon Islands is limited and severely affected by a country made up of islands. Surgical care is centralized to the National Referral Hospital (NRH) on Guadalcanal, leaving a void of care in the provinces where more than 80% of the people live.


To assess the ability to provide surgical care to the people living on outer islands in the Solomon Islands, the provincial hospitals were evaluated using the World Health Organization’s Global Initiative for Emergency and Essential Surgical Care Needs Assessment Tool questionnaire. Data on infrastructure, workforce, and equipment available for treating surgical disease was collected at each provincial hospital visited.


Surgical services are centralized to the NRH on Guadalcanal in Solomon Islands. Two provincial hospitals provide surgical care when a surgeon is available. Six of the hospitals evaluated provide only very basic surgical procedures. Infrastructure problems exist at every hospital including lack of running water, electricity, adequate diagnostic equipment, and surgical supplies. The number of surgeons and obstetricians employed by the Ministry of Health is currently inadequate for delivering care at the outer island hospitals.


Shortages in the surgical workforce can be resolved in Solomon Islands with focused training of new graduates. Training surgeons locally, in the Pacific region, can minimize the “brain drain.” Redistribution of surgeons and obstetricians to the provincial hospitals can be accomplished by creating supportive connections between these hospitals, the NRH, and international medical institutions.


Solomon Island Provincial Hospital Anesthesia Machine Noncommunicable Disease National Referral Hospital 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.



The authors funded this work personally.


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Copyright information

© Société Internationale de Chirurgie 2011

Authors and Affiliations

  • Eileen S. Natuzzi
    • 1
    • 2
    • 3
    Email author
  • Adam Kushner
    • 2
  • Rooney Jagilly
    • 4
  • Douglas Pickacha
    • 4
  • Kaeni Agiomea
    • 5
  • Levi Hou
    • 6
  • Patrick Houasia
    • 7
  • Phillip L. Hendricks
    • 1
  • Dudley Ba’erodo
    • 4
  1. 1.Loloma FoundationEncinitasUSA
  2. 2.Society of International Humanitarian SurgeonsNew YorkUSA
  3. 3.William Moore Stack FoundationEncinitasUSA
  4. 4.Department of SurgeryNational Referral HospitalGuadalcanalSolomon Islands
  5. 5.Department of AnesthesiaNational Referral HospitalGuadalcanalSolomon Islands
  6. 6.Department of Obstetrics and GynecologyNational Referral HospitalGuadalcanalSolomon Islands
  7. 7.Department of Orthopedic SurgeryNational Referral HospitalGuadalcanalSolomon Islands

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